Koprucki, Michael Carl

Koprucki, Michael Carl is an individual health care provider with primary practice located at 1340 Belmont Ave Suite 2300, Youngstown OH 44504-1125. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Koprucki, Michael Carl can be contacted via phone (330) 746-1488.

Contact Information

Primary practice address
1340 Belmont Ave Suite 2300 Youngstown OH 44504-1125
Phone: (330) 746-1488
Fax: (330) 746-5611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 35098982 Ohio
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD445026 Pennsylvania

Profile Details

NPI number 1902069115
LBN Legal business name Koprucki, Michael Carl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2008
Last updated Apr 3rd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902069115 NPPES
Ohio MEDICAID 0086348
Ohio MEDICAID 10287522100002

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